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Attendee Registration - All Professionals Affiliated Elsewhere
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2025 Capital Health’s Annual Continuing Education Conference:
Inspiring Minds, Advancing Medicine Together
March 14-15, 2025
Borgata Hotel & Casino
1 Borgata Way
Atlantic City, NJ 08401
RATES:
Early Bird
(10/1/24 - 11/15/24)
Standard
(11/16/24 - 2/24/25)
Late*
(2/25/25 - 3/7/25)
All Professionals Affiliated Elsewhere
$450
$500
$600
*Hotel rates no longer guaranteed after 2/24/25
Please complete the form below to register for Capital Health’s Annual Continuing Education Conference
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Name
First Name
Last Name
Address
Address
Address 2
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Please verify the above information is correct.
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Billing Category
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Physicians and Physican Assistants
Nurse, Resident, Allied Health Professional
Capital Health Nurse, Resident, Allied Health Professional
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Will you attend the FRIDAY evening reception?
Yes, I will attend
No, I am unable to attend
Will you be bringing a guest?
Yes, I will bring a guest
No, I will not bring a guest
Please provide your guest’s name
Will you attend the SATURDAY evening GALA?
Yes, I will attend
No, I am unable to attend
Will you be bringing a guest?
Yes, I will bring a guest
No, I will not bring a guest
Please provide your guest’s name
I have dietary restrictions
Yes
No
Please specify your restrictions here
How did you hear about the 2025 Capital Health Annual Continuing Education Conference?
How did you hear about the 2025 Capital Health Annual Continuing Education Conference?
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Direct Mail / Postcard
Email
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Attended a past Capital Health conference
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